Anabel Garcia Tadeo
Miami,FL
Summary
Dynamic Clinical Administrative Coordinator with expertise in Medicaid applications and insurance verification at Change Healthcare. Proven ability to enhance patient access through meticulous documentation and financial counseling. Adept at maintaining confidentiality and fostering team collaboration, ensuring compliance with regulations, while delivering exceptional service in fast-paced healthcare environments.
Overview
14
14
years of professional experience
Work History
Clinical Administrative Coordinator
Change Healthcare part of Optum
Miami, FL
08.2022 - Current
- Screen patients for government programs, such as Medicaid and Disability.
- Responsible for identifying all sources of potential payers, including auto insurance, workers' compensation, commercial insurance, private insurance, and TPL, to route accounts appropriately in the patient accounting environment.
- Responsible for obtaining and completing the Confidential Financial Statement form, and assisting patients in the process of applying for any benefits for which they may be eligible.
- Guided patients through the completion of consent and other required medical forms.
- Explained various admission forms and policies, acquiring signatures for consent.
- Works with patients and families to fully complete the Medicaid/Disability application process.
- Works closely with hospital staff to assist patients, and efficiently convey important information.
- Prepare and submit Medicaid applications.
- Educating clients, providing comprehensive information to clients about Medicaid eligibility guidelines, requirements, and the application process.
- Organized patient care by coordinating call routing, scheduling appointments and fulfilling service requests.
- Maintained a clean and organized work environment to ensure efficient workflow processes.
- Scanned documents into electronic medical records system.
- Handled incoming phone calls from patients and responded to inquiries accordingly.
Patient Access Representative
Conifer Health Solutions
Miami, FL
05.2015 - 05.2020
- Verified demographics and insurance information to register patients in computer system.
- Instructed patients on policies and required actions for different types of appointments and procedures.
- Guided patients through the completion of consent and other required medical forms.
- Organized and maintained records by updating and obtaining both personal and financial information from patients.
- Explained various admission forms and policies, acquiring signatures for consent.
- Documented patient counters in hospital system and initiated follow-up actions.
- Created new patient accounts in EMR system as needed.
- Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
- Conducted financial counseling for patients, explaining payment options and assistance programs.
- Register patients for ambulatory hospital services.
- Documented all medical insurance conversations.
- Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
- Assembled registration paperwork and placed identification bands on patient.
- Scanned documents into electronic medical records system.
- Verified insurance coverage for services provided by the facility.
- Collected co-pays and other payments from patients at time of service.
- Communicated financial obligations to patients and collected fees at time of service.
- Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
- Customer service.
- Managed a wide variety of patient service and administrative tasks to assist patients and clinical staff with issues quickly and efficiently.
- Directed calls to appropriate individuals and departments.
- Answered phones promptly in a professional manner.
- Ensured patient privacy by complying with federal laws.
- Developed a reputation as an efficient health provider with high levels of accuracy.
- Maintained confidentiality of patient information in compliance with HIPAA regulations.
- Managed patient check-in process, ensuring accurate data entry of personal and insurance information.
Cashier
Newslink
Miami, FL
06.2014 - 03.2015
- Worked closely with front-end staff to assist customers.
- Trained and mentored new cashiers to maximize performance with skilled, efficient and knowledgeable team members.
- Balanced daily transactions on a computerized point-of-sale system.
- Operated cash register efficiently and accurately, processed payments by cash, check, credit card, gift card or automatic debit.
- Maintained work area and kept cash drawer organized.
- Answered customer questions and provided store information.
- Built and maintained productive relationships with employees.
- Resolved customer complaints professionally in accordance with company policy.
- Collected payments and provided accurate change.
- Counted money in cash drawers at the beginning of shifts to ensure amounts were correct.
- Processed returns and exchanges of merchandise in accordance with store policies.
- Helped customers find specific products, answered questions, and offered product advice.
- Welcomed customers, offering assistance to help find store items.
- Scanned items and checked pricing on cash register for accuracy.
Lab Assistant
Quest Diagnostics
Tampa, FL
10.2010 - 12.2012
- Used time management and adaptability skills to prioritize and run multiple tests.
- Performed preventive maintenance on laboratory equipment to ensure optimal performance.
- Kept lab space and equipment clean to prevent contamination with hazardous substances.
- Collected, labeled and stored lab samples according to laboratory specifications.
- Conducted routine maintenance on lab equipment to ensure proper functioning.
- Produced and submitted laboratory documents and reports per compliance requirements.
- Expertly procured and processed specimens for laboratory staff.
- Disposed of laboratory materials and samples using well established guidelines and instructions.
- Participated in weekly team meetings to discuss progress on projects or upcoming tasks.
- Sanitized workstations and instruments to avoid cross-contamination.
- Processed hematology and chemistry samples.
- Prepared specimens and forms for transport to outside laboratories.
- Operated equipment and machinery according to safety guidelines.
Education
Business And Healthcare Management
Florida National University
Miami, FL06-2023
GED -
Raul Cepero Bonilla
Cuba05-2003
Skills
- Medicaid application
- Insurance verification
- Financial counseling
- Electronic medical records
- Compliance with regulations
- Data entry accuracy
- Team collaboration
- Confidentiality maintenance
- Documentation skills
- Records reviews
- Medical terminology
- Claims management
- Clinical documentation
- Healthcare system resources
- Medical records management
- Computerized charting
- HIPAA
- Telephone customer support
Languages
English
Professional
Spanish
Native/ Bilingual
References
References available upon request.
Timeline
Clinical Administrative Coordinator
Change Healthcare part of Optum
08.2022 - Current
Patient Access Representative
Conifer Health Solutions
05.2015 - 05.2020
Cashier
Newslink
06.2014 - 03.2015
Lab Assistant
Quest Diagnostics
10.2010 - 12.2012
Business And Healthcare Management
Florida National University
GED -
Raul Cepero Bonilla
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